Fungal Lesions

Causes of pinkeye are caused by bacteria, viruses, fungi, etc. In particular, fungal eye pain if treated incorrectly can cause dangerous complications such as corneal ulcer, corneal perforation ... leading to blindness

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The fungus causes eye disease
There are over 50 species of mold in our surroundings. Depending on the locality, depending on the temperature, humidity, environment, hygiene level, the number of healthy eyes carrying mushrooms accounts for 3-28%. A good, clean, corneal epithelial barrier is the best barrier that prevents fungus from entering the eye
Europe does not use oculomycoses but rather corneal fungi (kératomycoses).



Because they find it through the corneal lesions to enter deep into the uveucoma and intraocular to cause serious eye disease. Our country is subtropical, hot, humid, agriculture is the main occupation, so the incidence of eye fungus is high.
The main source of fungal infection is herbaceous fungi. Aspergillus mycelium is more common than Fusarium mycelium. But if Fusarium filaments get worse, the damage is worse than Aspergillus.
Fungal infections of the eye are less common than mycelium. Normal yeast eye damage on atopic ocular lesions has been present (long-term epithelial keratitis, dry eye, Herpes eye, multiple contact lenses after corneal transplantation, cortisol-eyed) or systemic cortisol)
When entering the eyes, the filaments and yeasts produce toxins that activate proteins that break down proteins and damage the eye membranes.




Signs recognize when eye fungus
In addition to the feeling of channeling, throbbing, blinding (of corneal ulcers in general), patients also experience frequent discomfort.
Ophthalmological examination revealed lesions on the shore edge, ulcerative bottom with patches of yellowish white discharge. If there is a roomus pus, it is dense, without horizontal lines that cling to behind corneal endothelium. In general, the symptoms are not very typical.
Implementing the quadrants
Obtaining specimens through tears is less effective. Damage to the cornea to get scrape specimens, sometimes with scrapes. In addition to direct examination, mushroom cultivation on sabouraud agar is also required. Sometimes transitional cultures have to be repeated.




Notes on the treatment of ocular fungus:
- Tinea does not get into the eyes (due to inappropriate pH, salinity and irritation to the eyes).
- Mainly topical treatment, sometimes 1 hour per eye, for days, weeks.
- There are 4 main drugs being used to treat ophthalmology:
+ Polyester group (amphotéricin B, natamycin).
+ The zimydazon group (5 fluorozoin).
+ The silver sulfamid group (specifically, silver sulfadiazine mixed with fungicides and bactericides at the same time).
+ Natamycin 5% is a liquid medicine, very good for Aspergillus mycelium.
If it is difficult to determine the type of fungus, use amphotéricin B and fluconasone for systemic sugar. Should do anti-fungal map, see what kind of eye fungus is specific to the most effective treatment for.



Sometimes it is necessary to scrap the corneal epithelium so that the drug is quickly absorbed and infects deep layers of damage.
Prevention of eye fungus: The main factor is mold from herbs, so when working in contact with plants, it is necessary to avoid contact with them and shoot them into the eyes.
When working in contact with them, they must wash their hands with clean soap, then wash their faces, wash their towels thoroughly with soap immediately after washing.
Do not let face wash towels grow. Ability to wash towels by soap and to dry towels in the sun; Avoid drying towels and clothes on rattan lines and bamboo poles, easy to contact with mold; Do not arbitrarily use cortisol when eye pain because it will release fungal spores, aggravating eye disease; Having eye pain after being bumped with plants (whether fresh or dry, rotten) must be alert to fungal eye infections, see an early doctor for early treatment..

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